Richard, Jack Melvin
Richard, Jack Melvin is an individual health care provider with primary practice located at 15 Sw 20Th Avenue , Battle Ground WA 98604. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Richard, Jack Melvin can be contacted via phone (360) 687-5665.Contact Information
Primary practice address
15 Sw 20Th Avenue
Battle Ground WA 98604
Phone: (360) 687-5665
Fax: (360) 687-5053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7107 | Washington |
Profile Details
| NPI number | 1225258726 |
|---|---|
| LBN Legal business name | Richard, Jack Melvin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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